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Supersprox Sponsorship Application

Supersprox, a.s.
Podebradska 28
190 00 Praha 9
www.supersprox.com

Please fill in all the red fields and press Submit button at the bottom of this page.

Rider/Company name
Telephone Fax
Address
City State Zip
Country
Tax Resale Number Federal ID Number
Email Address
Website Address
What do you ride?
Please send us a picture of your bike to sponsor@supersprox.com
Positioning during your career:
1.  
2.  
3.  
Races to be attended during the period of the contract:
1.  
2.  
3.  
How did you hear about Supersprox?
Date Representative name Title
                                                                   

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